{"componentChunkName":"component---common-build-question-tags-template-js","path":"/question-tag/cbd/66","result":{"data":{"allQuestion":{"edges":[{"node":{"id":"Question_10617-markdown","title":"What is the difference between hemp-based CBD oil and cannabis derived CBD oil?","slug":"what-is-the-difference-between-hemp-based-cbd-oil-and-cannabis-derived-cbd-oil","content":"\n_____________________\nCBD, THC and other cannabinoids are found in cannabis plants, concentrated most highly in the flowers of the unfertilized female plants. Hemp is a term used to designate cannabis plants that are non-psychoactive and have a low level of THC (usually designated as less than 0.3%THC) and most often used for fiber, food, fuel and building materials. THC, CBD and other cannabinoids are also found in the leaves, stems, roots and seeds of cannabis plants. There are special laws governing cannabis and hemp, and sometimes CBD and cannabinoids are only permitted to be extracted from the branches, stalks and seeds of the hemp plant, and not the flowers. For the best explanation of how the oil was obtained, check with the producer of the oil, to determine if the oil is derived from flowers, or stems, and to make sure that the extract is a \"whole plant extract\", as the synergy obtained from all of the cannabinoids and compounds in cannabis is far superior than any one cannabinoid in isolation.\n\nandrewvanmd\n_____________________\nAt a molecular level, there is really no difference between either. Cannabidiol is cannabidiol - and it makes no difference if it comes from cannabis or hemp.\n\nHowever, people report being affected differently based upon the source - that is, whether the CBD came from hemp or cannabis and, more specifically, they claim that the CBD from hemp just doesn't seem as effective. This may be psychosomatic, or it may be because a little bit of THC can boost the effectiveness of CBD by a chemical reaction known as the entourage effect. An analogy would be in the making of bread, where you have the minimum of ingredients, flour, water, yeast, and salt - all are needed for the best effect. If you leave out the salt - even though the recipe calls for only a pinch - you end up with a very unappetizing dense loaf of wood. The salt is required for a specific chemical reaction that properly binds the other ingredients and causes an optimal reaction that results in a rising dough and ultimately a satisfying loaf. That’s an entourage effect. Many believe that for CBD to be truly effective it also needs small amounts of THC and, perhaps, other cannabinoids too. Unfortunately there has been little testing at scale to know one way or the other. \n\nSo, for now we can only go by anecdotal experience of others. And that’s my advice for now too - try it. Make sure all controllable conditions are equal.    Try just CBD derived from Hemp on it’s own - and then try CBD derived from cannabis on it’s own\n\n\nCoffee Addict\n_____________________\nAs Dr. Solomon points out in the video, CBD is CBD, but the issue of what else may or may not be present in 'CBD oil' is an important one to think about.  To begin with, CBD oil derived from medical cannabis and sold as medicine seems less likely to contain industrial contaminants or impurities stemming from the commercial hemp operations from which non-medicinal CBD oil is sourced.  There is generally a lot more scrutiny of medical cannabis products from field to consumer, which is obviously a good thing if you are the consumer.  Dr. Solomon also makes the point that the biochemical context is known to be important in the way medical cannabis creates its effects.  Because it has been so well demonstrated that cannabinoids interact in producing the effects we perceive, it seems important to remember that fact when we are attributing specific activities to a single isolated cannabinoid.  In fact, the presence or absence of biologically active amounts of some of the many other cannabinoids in a particular CBD oil might account for some of the variability of patient experience with CBD oils in general.\n\ndrelkind\n_____________________\nHemp-based CBD oil is low in THC or/and CBD) where cannabis plant-based CBD oil is rich in THC or/and CBD.  Hemp oil, unlike cannabis oil has only trace amounts of THC and CBD, and therefore will be 100 times less potent than cannabis oil.\n\ndrb\n_____________________\nFirst, there is a slight misnomer in this question. Cannabis is the name for both \"marijuana\" (THC) producing and \"industrial hemp\" (THC < 0.3%). It is all in the genes as to what proportion of CBD:THC is produced. The other differences that could be realized would be in the mix of other cannabinoids and terpenes, along with the final percentages of both CBD and THC in the extracted oil. That also can all be tuned by the extraction process which can be fine tuned to pull out almost any specific component and then selectively add certain components back in. Always look for the actual amount of CBD (mg count or parts per million, PPM) to ensure what you are getting. Also know that if you don't want THC, marijuana based oil will need to go through more refinement to remove/lower the THC content.\n\njncadams","image":null}},{"node":{"id":"Question_10598-markdown","title":"What are some suggestions for outside pain management?","slug":"what-are-some-suggestions-for-outside-pain-management","content":"\"I am using the transdermal for outside pain and it works great. The spray CBD, not so much. Suggestions? I am enjoying a bout of pneumonia now and my vapor is not an option.\"\n_____________________\nWhat kind of pain are you treating? If you are unable to inhale cannabis because of your pneumonia, I would suggest a sublingual tincture. You can find them with variable amounts of CBD and THC. You may also want to try other topical ointments and creams. \n\nandrewvanmd","image":null}},{"node":{"id":"Question_10572-markdown","title":"Can my my daughter us CBD oil as a replacement for Remicade?","slug":"can-my-my-daughter-us-cbd-oil-as-a-replacement-for-remicade","content":"\"My Daughter has Ulcerative Colitis. She is on Remicade but still has bleeding. I have  heard about CBD oil. We live in New Jersey . How can I get information about purchase and dosage. \"\n_____________________\nInflammatory bowel diseases such as Crohn’s and Ulcerative Colitis, are immune deficiency diseases that involves chronic inflammation of the gastrointestinal tract. They can cause persistent cramping, diarrhea, obstruction, and rectal bleeding.\n\nPatients suffering from Crohn's disease, or from any type of irritable bowel disease, have a higher level of cannabinoid receptors in their gastrointestinal tract. The endocannabinoids found in cannabis can help to reduce the inflammation caused by these conditions. In 2013, the journal Clinical Gastroenterology and Hepatology found that 10 of 11 patients in the cannabis group of a study had a significant reduction in their symptoms and 5 had complete remission with the use of cannabis.\n\nOur body has its own cannabinoid system referred to as the endocannabinoid system and we have cannabinoid receptors, CB1 and CB2, in the digestive system. The cannabinoid system has been shown to be involved in regulating the immune system through its immunomodulatory properties. Cannabinoids suppress inflammatory response and reduce disease symptoms. This happens through multiple, complicated biochemical pathways.\n\nWhen CB1 receptors are activated, they can decrease intestinal movement and the secretion of intestinal fluids. CB2 receptor stimulation can lead to an increase in T-cell, white blood cells, and other body cells that mediate inflammation. There is also evidence that THC may be helpful in reducing the leakage of fluids through the lining of the gastrointestinal tract.\n\nRemicade, or infliximab, is a monoclonal antibody used to treat rheumatoid arthritis, psoriatic arthritis, ulcerative colitis, Crohn's disease, ankylosing spondylitis and plaque psoriasis of the skin. Remicade is often used when other medicines have not been effective. It blocks the action of a protein in your body called tumor necrosis factor-alpha (TNF-alpha) reducing inflammation and altering immune response. Common side effects of Remicade include headache, stomach pain, nausea, stuffy nose, sinus pain, skin rash, or flushing.\n\nDue to stomach sensitivities in patients with Crohn’s, vaporization or smoking has seemed to be the best delivery method for medical cannabis. Edible forms, however, allow for the cannabis to directly sooth the gastrointestinal tract. \n\nInflammatory Bowel Disease is a qualifying condition in New Jersey for Medical Marijuana and your state has licensed dispensaries.\n\nWhile I would recommend using CBD oil as an adjunct to current therapies, I have had good results for patients using CBD Oils in a 2:1 ratio several times per day with the addition of some THC pills in extracted form in capsules for flares and to stimulate appetite and sleep. \n\n\ndrbluto","image":null}},{"node":{"id":"Question_10559-markdown","title":"What is the best strain to help with insomnia?","slug":"what-is-the-best-strain-to-help-with-insomnia","content":"\"I have difficulty falling and staying asleep.\"\n_____________________\n\n![Cannabis is a diverse plant.](https://hellomd-cms.s3.us-west-2.amazonaws.com/Screen_Shot_2021_11_30_at_6_04_21_PM_3b42af359a.png)\n\nCannabis is a very diverse plant that grows all over the world. Two broad categories exist; Indica and Sativa. Indica is best remember as \"in da couch\" and it is well suited to treat sleep, pain, and aid in relaxation. It is best to try many different strains and products and decide what works best for you!\n\nandrewvanmd\n_____________________\nSome may say that it is the level of THC that will induce great sleep. That said, most people divide the strains into either Sativa, Indica or a hybrid of the two. The popular stereotype is that Sativa dominant strains will promote a more energetic & creative feeling; some might say euphoric. On the other side, Indica dominant strains will induce a much more predictable sleepy sensation. This is often when people feel 'couch-locked. \n\nAnother thing to consider is the presence of cannabinol or CBN, which is a lesser-known cannabinoid also known for promoting sleep. Unfortunately, it is hard to know how much CBN is in the strain you may have purchased without a lab test. \n\nI'll focus on a few  popular Indica-based strains:\n\n- Purple Kush: Pure Indica and is popular for creating physical relaxation\n\n- Bubba Kush: This is an Indica strain known for creating a sleep effect, easing muscles and a happy mood\n\n- Blueberry: A pure Indica known for helping to alleviate the pain it also induces a nice sleep\n\nOne outlier that is minimally psychoactive is Cannatonic. This cannabidiol (CBD) based strain is not an Indica and contains less THC than many other strains. It is great for medical patients seeking pain relief and the need for sleep.  \n\nI feel the need for help with sleep, and generally, I do not smoke. There are many different ways to ingest cannabis that can deliver sleep-inducing effects. I prefer a sublingual THC spray by Absolute Extracts (available in CA) called 'Sleepytime'. For me, one spray is enough to put me out, but I am very sensitive. A lot of people prefer edibles as the dosage is so reliable. One friend of mine swears by Auntie Dolores (available in CA) caramel corn; she eats one piece of caramel corn before bed every night. \n\nAs with anything, always start slowly. Depending on how you react, a small amount may be enough to get you to sleep whereas too much could have the opposite effect. I hope this helps!\n\nPaula H.\n_____________________\n\n![Screen Shot 2021-11-30 at 6.11.09 PM.png](https://hellomd-cms.s3.us-west-2.amazonaws.com/Screen_Shot_2021_11_30_at_6_11_09_PM_3037597187.png)\n\nIf you are having difficulty falling asleep, smoking or vaporizing cannabis can help reduce the time it takes to fall asleep tremendously. I know that there are some traditional heavy Indicas that put people to sleep, but my personal selections for sleep are Skywalker OG, Pennywise (1:1 CBD strain), and Royal Kush. Absolute Xtracts actually makes a great Royal Kush CO2 cartridge for a vape pen, which can be nice to use before bed as it is much simpler than smoking and does not make that telltale cannabis smell if you would rather keep your MJ to yourself.\n\nNow smoking or vaporizing is great for the onset of sleep, but this effect normally wears off within a few hours and can still result in you waking at 3 or 4am. I know that you are asking about which strain would be the best for insomnia, however, I think there is another option that may help you stay asleep longer.\n\n![Wana Brands gummies are a popular edible and can be used as a sleep aid.](https://hellomd-cms.s3.us-west-2.amazonaws.com/Screen_Shot_2021_11_17_at_1_08_56_PM_6440bb1268.png)\nEdibles traditionally last longer than smoking or vaporizing and I find that they can keep me sleeping much longer into the morning. You do not usually find strain-specific edibles for sale, however, there are a few brands that sell sleep specific edibles. I've tried Sensi Chew's Insomnia that actually comes with a few mg of melatonin with each dose and I had no issues falling asleep as long as that pack lasted. As pretty much everyone will tell you here - Start low and work your way up with the dosing. You can always take more you can't take less.\n\nryan\n_____________________\n\n![Screen Shot 2021-11-30 at 6.12.43 PM.png](https://hellomd-cms.s3.us-west-2.amazonaws.com/Screen_Shot_2021_11_30_at_6_12_43_PM_9c41255f5c.png)\n\nThe strains that work best for me, where sleep is concerned,  are Deep Sleep OG and Granddaddy Purple. These two always seem to knock me out. Of course different strains hit different people differently. With that in mind, any straight Indica should do wonders in the sleep department.\n\ndarkestjack\n_____________________\nIndicas work best for me! I have problems finding products that will NOT put me to sleep, because then I oversleep & get terrible headaches.\nIndica is 1st to put me away! Good luck on that\n\ndream15x\n_____________________\nThis is an individual choice. Each person's unique internal chemistry responds to cannabis strains differently, however; Indica strains have traditionally been the most common \"go-to\" products for inducing relaxation and sleep. Several Kush varieties were mentioned in the comments below. They are good places to start. \n\nSome individuals do not tolerate indica strains and find that using sativa strains or hybrids actually provide more relaxation but, I recommend stopping use of them about 60-90 min before your actual bedtime to allow for natural sleep induction. \n\nI also recommend you look at edibles for sleep if you can consistently be in bed for 6+ hours.\nI have found Sensi-chews to be helpful but, pay attention to the dosing. Most people only need 5-8mg of TCH to fall asleep and most dosing is higher than that for packaging purposes. I recommend people cut these products in small portions to find the lowest effective dose which is all you need and much more economical.\n\nBest wishes for relaxing and renewing sleep.\n\ndrgerhart\n_____________________\n\n![Cannabis is a great replacement to alcohol](https://hellomd-cms.s3.us-west-2.amazonaws.com/shutterstock_1489624160_min_82fa15736f.jpg)\n\nUsually sleep disturbance issues begin during the day as we build up stress or anxiety, and then our brain does not want to let go at night. If you find there is chronic brain chatter when you're trying to sleep, be sure to put those thoughts down on paper if there are things that you need to accomplish the next day and that we'll get those thoughts out of your mind but the rest of the chatter you want to shut up with CBD Cannabis. \n\nI usually encourage patients to do an Indica they like for sleep but to keep oral spray of a high CBD, non-alcoholic tincture in the refrigerator so if brain chatter continues please put one spray of the CBD tincture under your tongue so you can sleep. The best sleep seems to be at a CBD:THC = 1:1 so that means if you have done Sativa in PM you need a significant amount of CBD to balance the THC so you can quiet your brain. \n\nSince stress oftentimes starts during today and keeps us awake at night you may want to do some very low dose CBD during the day that is also available as a spray in the mouth or in a vape pen (like AC/DC) for immediate relief of anxiety and pain.\n\nI suspect you will start sleeping if you try this but also remember to stop all blue light exposure a couple hours before bed or at least have a blue light filter if you must do computer or phone work close to bedtime. \nSleep is important so do continue in your pursuit of a good night's sleep without pharmaceutical drugs that will suppress your restorative sleep.\n\ndrolson\n_____________________\n\nCannabis has been shown to promote sleep, both falling asleep and maintaining sleep. Typically the THC in cannabis has a sedative effect, especially in the indica varieties. I would avoid sativa varieties for insomnia because they can have a stimulating effect. This being said, the majority of cases of sleep dysfunction are caused by poor sleep hygiene. What this means is that we have developed habits that do not promote a good night's sleep. I recommend changing these habits first, before taking any medicines. \n\nSome examples: Turning off the screens in your life (television, computer, phones, etc) 1-2 hours before bedtime, no caffeine or other stimulants after mid-afternoon, exercise 30-60 minutes preferably earlier in the day, turn off bright lights at sunset, use more candles and low lighting, take a warm bath or shower before bed, have a cup of herbal tea or warm non-caffeine beverage before bedtime, make a to-do list for the next day to get them out of your thoughts, and read some of a novel before sleeping. There's more, of course, but this is just a list to get you started. Good luck!\n\ndrjacquelynlew\n_____________________\nYes, cannabis does help with insomnia. For the best sleep, look for cannabis with the ratio of CBD:THC of 1:1. For more information, visit the \"insomnia\" discussion board on our website.\n\nrachelnp\n_____________________\nThis is probably one of the toughest questions and most likely anyone you ask will have a different answer. I do not believe there is one best strain of cannabis for insomnia. I personally think you must account for any Cannabis you have used during the day, especially if you have used a highTHC strain. If you already have hi THC in your system, say you use a Sativa during the day, you would want to bring in more CBD in the evening. The best sleep seems to be when your THC and CBD's are close to equal inside your body but if you have too much THC you will have a party going on in your head and you will find you can shut the party down by adding more CBD's. If you only intend to use cannabis first sleep you may want to try a 1:1 Vaporizing oil, tincture, tablet or spraying the mouth. Please, remember to always start low and increase the dosage slowly until you have obtained the optimal results.\n\ndrolson\n_____________________\nStudies have shown that cannabis can improve the quality and duration of sleep and help treat various sleeping disorders.\n\nwendynp\n_____________________\nMany people experience insomnia from time to time. Medical marijuana for insomnia can be a safe and an effective alternative for good sleep but either way, prolonged insomnia needs to be addressed. Cannabis can aid sleep without getting you addicted. Like prescription pills, it doesn't even have side effects such as anxiety, depression and fatigue. Here are few medical marijuana strains that are effective to treat insomnia-\n\nSuper Glue (Hybrid)\nSkywalker\nNorthern Lights\nGranddaddy Purple\n\n\n\npotvalet\n_____________________\nGranddaddy Purple\nSkywalker OG\nSuper Skunk\nWhite Widow\nWhite Rhino\nPurple Urkle\nBlueberry\n\n\n\npotvalet","image":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":1.5037593984962405,"src":"/static/2c6a86d2dbef98dd06895edb62ef67bd/14b42/2bcffccb44112911590f6b3d114f3d4d.jpg","srcSet":"/static/2c6a86d2dbef98dd06895edb62ef67bd/f836f/2bcffccb44112911590f6b3d114f3d4d.jpg 200w,\n/static/2c6a86d2dbef98dd06895edb62ef67bd/2244e/2bcffccb44112911590f6b3d114f3d4d.jpg 400w,\n/static/2c6a86d2dbef98dd06895edb62ef67bd/14b42/2bcffccb44112911590f6b3d114f3d4d.jpg 800w,\n/static/2c6a86d2dbef98dd06895edb62ef67bd/47498/2bcffccb44112911590f6b3d114f3d4d.jpg 1200w,\n/static/2c6a86d2dbef98dd06895edb62ef67bd/0e329/2bcffccb44112911590f6b3d114f3d4d.jpg 1600w,\n/static/2c6a86d2dbef98dd06895edb62ef67bd/25261/2bcffccb44112911590f6b3d114f3d4d.jpg 7322w","srcWebp":"/static/2c6a86d2dbef98dd06895edb62ef67bd/58556/2bcffccb44112911590f6b3d114f3d4d.webp","srcSetWebp":"/static/2c6a86d2dbef98dd06895edb62ef67bd/61e93/2bcffccb44112911590f6b3d114f3d4d.webp 200w,\n/static/2c6a86d2dbef98dd06895edb62ef67bd/1f5c5/2bcffccb44112911590f6b3d114f3d4d.webp 400w,\n/static/2c6a86d2dbef98dd06895edb62ef67bd/58556/2bcffccb44112911590f6b3d114f3d4d.webp 800w,\n/static/2c6a86d2dbef98dd06895edb62ef67bd/99238/2bcffccb44112911590f6b3d114f3d4d.webp 1200w,\n/static/2c6a86d2dbef98dd06895edb62ef67bd/7c22d/2bcffccb44112911590f6b3d114f3d4d.webp 1600w,\n/static/2c6a86d2dbef98dd06895edb62ef67bd/68380/2bcffccb44112911590f6b3d114f3d4d.webp 7322w","sizes":"(max-width: 800px) 100vw, 800px"}}}}}]}},"pageContext":{"limit":12,"skip":780,"numPages":66,"currentPage":66,"id":5084,"name":"CBD","slug":"cbd","country":"US"}},"staticQueryHashes":["3949754563","4179947113","4202924991"]}